S3 Gallop: Causes & Reasons

Possible Causes for S3 Gallop

[…] criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema · S3 [web.archive.org]

The major criteria include: Paroxysmal nocturnal dyspnea Distention of neck veins Crepitations Cardiomegaly Acute pulmonary edema S3 gallop rhythm Increased venous pressure [symptoma.com]

gallop · Increased central venous pressure (> 16 cm H2O at right atrium) · Hepatojugular reflux · Weight loss > 4.5 kg in 5 days in response to treatment Minor criteria: [web.archive.org]

High-Output Heart Failure

Physical examination reveals an S3 gallop, hepatomegaly, warm skin and a continuous bruit over the right upper thigh. [medbullets.com]

References:[4][8] Clinical features General features of heart failure Nocturia [9] Fatigue Tachycardia, various arrhythmias Heart sounds: S3/S4 gallop Pulsus alternans Clinical [amboss.com]

[S3] Bilateral Crepitations Cardiomegaly on CXR Cachexia [dec. appetite, weight loss, lethargy, muscle atrophy] Hepatic Tenderness Dyspnea due to pulmonary edema and respiratory [almostadoctor.co.uk]

Dilated Cardiomyopathy

Physical examination may reveal signs of acute left ventricular failure, such as S3 gallop, systolic murmur consistent with mitral regurgitation, pleural effusions, jugular [youtube.com]

gallop, right-Syncope, persistent S3 gallop, right- sided heart failure, AV or bundle branch block,sided heart failure, AV or bundle branch block, hyponatremia, troponin [slideshare.net]

Findings include crackles in the lung fields, elevated jugular venous pressures, peripheral edema, and an S3 gallop. [ncbi.nlm.nih.gov]

Toxic Myocarditis

Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure → S3 (and S4) gallops Pericarditis → pericardial friction rub The clinical [amboss.com]

A S3 gallop indicates left-sided congestive heart failure. [atsu.edu]

Chronic Constrictive Pericarditis

 Prominent S3 gallop may be present.  Secondary tricuspid regurgitation with its characteristic murmur.  Abdominal examination reveals hepatomegaly, often with palpable [slideshare.net]

Cardiomyopathy

gallop Rales over both lung fields Diagnostics Approach Investigations [3] ECG: The following findings may be present but are not specific for DCM. [amboss.com]

gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse [emedicine.medscape.com]

[…] tissue → ↓ Elasticity of cardiac tissue Atrial enlargement and severe diastolic dysfunction Distinctive clinical features Signs of left heart failure and right heart failure S3 [amboss.com]

Fungal Myocarditis

Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure → S3 (and S4) gallops Pericarditis → pericardial friction rub The clinical [amboss.com]

Left Cardiac Ventricle Disorder

gallop Rales over both lung fields Diagnostics Approach Investigations [3] ECG: The following findings may be present but are not specific for DCM. [amboss.com]

[…] tissue → ↓ Elasticity of cardiac tissue Atrial enlargement and severe diastolic dysfunction Distinctive clinical features Signs of left heart failure and right heart failure S3 [amboss.com]

gallop Frequently asymptomatic Signs of left heart failure (dyspnea, syncope, dizziness) Arrhythmias S4 gallop Sudden death Signs of left heart failure and right heart failure [amboss.com]

Giant Cell Myocarditis

Patient was tachycardic with normal S1, S2, an audible S3 gallop, and no murmurs. Extremities were warm and well perfused. [chop.edu]

Pulmonary Edema

Auscultation typically reveals an S3 gallop in volume overload states, which may be associated with accentuation of the pulmonic component of S2. [ncbi.nlm.nih.gov]

An third heart sound (S3) gallop is frequently present. [tele.med.ru]

Noisy respiratory efforts often make cardiac auscultation difficult; a summation gallop—merger of 3rd (S3) and 4th (S4) heart sounds—may be present. [msdmanuals.com]

Bacterial Myocarditis

Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure → S3 (and S4) gallops Pericarditis → pericardial friction rub The clinical [amboss.com]

Thyrotoxic Heart Disease

[…] or S4 gallop, and crepitations were recruited to the study which lasted from June 1999 to May 2002. [rwjms1.umdnj.edu]

[…] presented with symptoms and signs of cardiac decompensation such as shortness of breath, paroxysmal nocturnal dyspnoea, cough, palpitations, leg and abdominal swelling, S3 [rwjms1.umdnj.edu]

Acute Myocardial Infarction

In this situation, there may be concurrent jugular venous distension peripheral edema and a S3 gallop. Diaphoresis can be common in AMI. [clinicaladvisor.com]

Class I: No evidence of HF (mortality 6%) Class II: Findings of mild to moderate HF (S3 gallop, rales < halfway up lung fields or elevated jugular venous pressure (mortality [healio.com]

Acute Myocarditis

The physical examination is perhaps even more important, which can reveal tachycardia, cardiac murmurs (soft S1 sound, S3 or S4 gallop, as well as sounds pointing toward insufficiency [symptoma.com]

Pulmonary Arterial Hypertension

gallop Other findings may include hepatomegaly with palpable pulsations of the liver and an abnormal abdominal-jugular reflex. [emedicine.medscape.com]

gallop Other findings may include the following: Hepatomegaly with palpable pulsations of the liver Abnormal abdominal-jugular reflex Ascites - Not uncommon in untreated [emedicine.medscape.com]

[…] the commonly present severe tricuspid regurgitation, and large a waves thought to be secondary to poor right ventricular compliance may also be present. [16] Right-sided S3 [emedicine.medscape.com]

Myocardial Infarction

In this situation, there may be concurrent jugular venous distension peripheral edema and a S3 gallop. Diaphoresis can be common in AMI. [cancertherapyadvisor.com]

Heart sounds are auscultated for S3 or S4 gallops or new heart murmurs. Patient care and other activities should be organized to allow for periods on uninterrupted rest. [medical-dictionary.thefreedictionary.com]

Major criteria include an enlarged heart on a chest x-ray, an S3 gallop (a third heart sound), acute pulmonary edema, episodes of waking up from sleep gasping for air, crackles [en.wikipedia.org]

Cardiac Dyskinesia

The combined presence of S3 and S4 is a quadruple gallop. At rapid heart rates, S3 and S4 may merge to produce a summation gallop. [textbookofcardiology.org]

S3 The third heart sound also called a protodiastolic gallop or ventricular gallop. [textbookofcardiology.org]

In addition to these normal sounds, a variety of other sounds may be present including heart murmurs, adventitious sounds, and gallop rhythms S3 and S4.To hear cardiac sounds [textbookofcardiology.org]

Pulmonary Embolism

[…] or S4 gallop: 34% Clinical signs and symptoms suggesting thrombophlebitis: 32% Lower extremity edema: 24% Cardiac murmur: 23% Cyanosis: 19% Testing Perform diagnostic testing [emedicine.medscape.com]

In the presence of right ventricular failure, distended internal jugular veins and a RV heave may be evident, and a RV gallop (3rd heart sound [S3]), with or without tricuspid [merckmanuals.com]

[…] respiratory rate >16/min): 96% Rales: 58% Accentuated second heart sound: 53% Tachycardia (heart rate >100/min): 44% Fever (temperature >37.8°C [100.04°F]): 43% Diaphoresis: 36% S3 [emedicine.medscape.com]

Viral Myocarditis

Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure → S3 (and S4 ) gallops Pericarditis → pericardial friction rub The clinical [amboss.com]

Secondary Cardiomyopathy

An important feature of the physical examination is a gallop rhythm of S3 and S4. S3 and S4 may fuse in tachycardic patients with new onset of heart failure. [textbookofcardiology.org]

Chagas Disease

Cardiovascular exam reveals an elevated JVD, S3 gallop, and pitting edema of both ankles. [medbullets.com]

Diphtheritic Myocarditis

[…] or a summation gallop. [omicsonline.org]

[…] tachycardia which is disproportionate to the fever with signs of ventricular dysfunction such as jugular venous distention, basilar crackles, ascites, peripheral edema and S3 [omicsonline.org]

Acute Coronary Syndrome

Please note : this guideline has exceeded its review date and is currently under review by specialists. Exercise caution in the use of the clinical guideline. N.B. Some of the recommendations in this guideline are currently under review and may change. Introduction Chest pain is one of the most common presentations[…] [handbook.ggcmedicines.org.uk]

Bidirectional Tachycardia

He had S3 gallop and diminished breath sounds with minimal rales bilaterally. Abdomen was distended and he had 2+ pitting edema. [ncbi.nlm.nih.gov]

Ischemic Cardiomyopathy

Master of Science in Nursing (MSN) Student Scholarship Date Written Summer 8-3-2017 Course Name Advanced Pathophysiology Professor’s Name Dr. John Chovan Keywords heart disease, heart failure, ischemic cardiomyopathy, low ejection fraction Subject Categories Medicine and Health Sciences | Nursing Abstract A[…] [digitalcommons.otterbein.edu]

Primary Cardiac Sarcoma

Abstract We report novel molecular and pathologic features of sarcomas involving the heart. Intimal sarcoma appears as the most frequent primary cardiac sarcoma within the largest described series of 100 primary cardiac sarcomas. Immunohistochemical analysis, fluorescence in situ hybridization, real-time polymerase[…] [ncbi.nlm.nih.gov]

Primary Cardiomyopathy

PURPOSE OF REVIEW: Noncompaction of the left ventricle is a descriptive anatomical term and recently recognized primary cardiomyopathy. Cardiac imaging now allows for prompt detection. The specific etiology remains poorly understood, however, and the major genetic determinants are unknown. This review describes[…] [ncbi.nlm.nih.gov]

Restrictive Cardiomyopathy

BACKGROUND: Some cancer therapies can cause advanced heart failure requiring heart transplantation. Although dilated cardiomyopathy is the most common phenotype, those who receive radiation may develop restrictive cardiomyopathy. The characteristics and transplantation outcomes patients with radiation-induced[…] [ncbi.nlm.nih.gov]

Ventricular Septal Defect

(rollover to compare with normal) What Is It? A Ventricular Septal Defect (VSD) is a hole in the ventricular septum - the muscular wall that separates the right and left ventricles, or main pumping chambers, of the heart. This opening allows the movement, or "shunting," of blood between the ventricles. Most[…] [pted.org]

Hypersensitivity Myocarditis

Eosinophilic myocarditis is an inflammatory condition of the heart in which the infiltrate is composed predominately of eosinophils. We identified three cases of eosinophilic myocarditis in which the infiltrating eosinophils showed a remarkable intimate association with bundles of collagen. Two of the hearts examined were[…] [ncbi.nlm.nih.gov]